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The nurse is caring for a client who has polycystic kidney disease (PKD). Which of the following
would indicate the client is achieving treatment goals?
A. Blood Pressure 128/63 mmHg
B. Creatinine 2.3 mg/dL [0.6-1.2 mg/dL (53-106 mmol/L)]
C. Proteinuria 2+
D. Sodium 132 mEq/L [136-145 mEq/L (mmol/L)]
A. Blood Pressure 128/63 mmHg
What consideration should the nurse keep in mind regarding the use of side rails for a confused
client?
A. They prevent confused clients from wandering.
B. A history of a previous fall from bed with raised side rails is insignificant.
C. A person of small stature is at increased risk for injury from entrapment.
D. Alternative measures are ineffective to prevent wandering.
C. A person of small stature is at increased risk for injury from entrapment.
The licensed practical/vocational nurse (LPN/VN) is caring for assigned clients. Which of the
following activities should the nurse perform first?
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,A. administer acetaminophen to a client with a temperature of 101.1° F (38.4° C)
B. complete pin care for a client with a halo fixation device
C. administer diazepam for a client with delirium tremens (DTs)
D. insert an indwelling urinary catheter for a client with retention
C. administer diazepam for a client with delirium tremens (DTs)
The nurse is caring for a client who recently had a partial gastrectomy. Which of the following
medications should the nurse anticipate that the primary health care provider (PHCP) will
order?
A. Vitamin B12
B. Metoclopramide
C. Sucralfate
D. Hydroxyzine
A. Vitamin B12
The nurse is caring for a client who is postoperative with incentive spirometry ordered. The
nurse understands that this device will help prevent which complication?
A. Venous thromboembolism
B. Obstructive sleep apnea
C. Hypostatic pneumonia
D. Aspiration pneumonia
C. Hypostatic pneumonia
The nurse is collecting data on a client with syndrome of inappropriate antidiuretic hormone
(SIADH). Which of the following laboratory test requires careful monitoring?
A. Potassium
B. Sodium
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,C. Glucose
D. Magnesium
B. Sodium
Which of the following should the nurse include in the education provided to a client who is
taking lisinopril? Select all that apply.
A. "It may take several months for your blood pressure to return to normal."
B. "You must have your potassium monitored from time to time."
C. "This medication may change your vision at times."
D. "You may notice a change in your sensation of taste."
A, C, & D
The licensed practical nurse is assisting a registered nurse in conducting a community health
class. Which immunization should the LPN recommend to the older adult?
A. Human papilloma virus (HPV) vaccine
B. Haemophilus influenzae type B (Hib) vaccine
C. Pneumococcal polysaccharide vaccine (PPSV23)
D. Measles, mumps, and rubella (MMR) vaccine
C. Pneumococcal polysaccharide vaccine (PPSV23)
The nurse is preparing to administer ear drops to a client who is six years old. The nurse should
perform which action?
A. Pull the ear pinna down and back
B. Position the client on their side with the ear to be treated against a pillow
C. Pull the ear pinna up and back
D. Place cotton directly into the ear canal after ear drop administration
C. Pull the ear pinna up and back
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, The nurse is caring for a client who has just been diagnosed with severe acne vulgaris. Which of
the following medications should the nurse anticipate the primary health care provider (PHCP)
will prescribe?
A. Isotretinoin
B. Acyclovir
C. Ketoconazole
D. Ethambutol
A. Isotretinoin
The risk manager reviews an incident report completed by a nurse regarding a client's fall.
Which finding in the report demonstrates inappropriate documentation?
A. The client's explanation of the event.
B. Subjective factors preceding the fall.
C. Any injuries sustained as a result of the fall.
D. The names of all witnesses present.
B. Subjective factors preceding the fall.
The nurse is caring for a client who is immediately postoperative. It would be appropriate for
the nurse to initially data collect on the client's
A. respiratory status.
B. level of consciousness.
C. level of pain.
D. ability to move extremities.
A. respiratory status.
The LPN is taking vital signs on a pregnant client in active labor. When she inflates the blood
pressure cuff, she looks at the fetal monitor and notices that the fetal heart rate increases above
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